Health System Enablers and Barriers to Continuity of Care for First Nations Peoples Living with Chronic Disease

Maria Alejandra Pinero de Plaza; Lemlem Gebremichael; Shannon Brown; Chiung-Jung Wu; Robyn Clark; Katharine McBride; Sonia Hines; Odette Pearson; Kim Morey

doi:10.5334/ijic.7643

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Health System Enablers and Barriers to Continuity of Care for First Nations Peoples Living with Chronic Disease

Journal article

Open access

Peer reviewed

Health System Enablers and Barriers to Continuity of Care for First Nations Peoples Living with Chronic Disease

Maria Alejandra Pinero de Plaza, Lemlem Gebremichael, Shannon Brown, Chiung-Jung Wu, Robyn Clark, Katharine McBride, Sonia Hines, Odette Pearson and Kim Morey

International Journal of Integrated Care, Vol.23, pp.1-19

2023

DOI: https://doi.org/10.5334/ijic.7643

PMCID: PMC10723014

PMID: 38107834

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Abstract

integration of care

chronic diseases

Aboriginal

Indigenous

First Nations People

policymaking

UniSC Diversity Area - Aboriginal and Torres Strait Islander Engagement

Introduction: Failings in providing continuity of care following an acute event for a chronic disease contribute to care inequities for First Nations Peoples in Australia, Canada, and Aotearoa (New Zealand). Methods: A rapid narrative review, including primary studies published in English from Medline, Embase, PsycINFO, and Cochrane Central, concerning chronic diseases (cancer, cardiovascular disease, chronic kidney disease, diabetes, and related complications), was conducted. Barriers and enablers to continuity of care for First Nations Peoples were explored considering an empirical lens from the World Health Organization framework on integrated person-centred health services. Results: Barriers included a need for more community initiatives, health and social care networks, and coaching and peer support. Enabling strategies included care adapted to patients’ cultural beliefs and behavioural, personal, and family influences; continued and trusting relationships among providers, patients, and caregivers; and provision of flexible, consistent, adaptable care along the continuum. Discussion: The support and co-creation of care solutions must be a dialogical participatory process adapted to each community. Conclusions: Health and social care should be harmonised with First Nations Peoples’ cultural beliefs and family influences. Sustainable strategies require a co-design commitment for well-funded flexible care plans considering coaching and peer support across the lifespan.

Details

Title: Health System Enablers and Barriers to Continuity of Care for First Nations Peoples Living with Chronic Disease
Authors: Maria Alejandra Pinero de Plaza (Corresponding Author) - Flinders University
Lemlem Gebremichael (Author) - Flinders University
Shannon Brown (Author) - Flinders University
Chiung-Jung Wu (Author) - University of the Sunshine Coast, Queensland, School of Health - Nursing
Robyn Clark (Author) - Flinders University
Katharine McBride (Author) - South Australian Health and Medical Research Institute
Sonia Hines (Author) - Flinders University
Odette Pearson (Author) - The University of Adelaide
Kim Morey (Author) - South Australian Health and Medical Research Institute
Publication details: International Journal of Integrated Care, Vol.23, pp.1-19
Publisher: Ubiquity Press Ltd.
Date published: 2023
DOI: 10.5334/ijic.7643
ISSN: 1568-4156
PMID: 38107834; PMC10723014
Copyright note: © 2023 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
Grant note: The South Australian Department for Health and Wellbeing funded this project.
Organisation Unit: School of Health - Nursing
Language: English
Record Identifier: 99972798602621
Output Type: Journal article

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